Attachment 3 - Past Performance List of Reference.pdf
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- Solicitation number
- FA465925Q0003
About this file
The document is a Past Performance List of References template for the ASM Facility Equipment Preventative Maintenance federal contract opportunity (Solicitation Number FA465925Q0003). The two-page form is designed for contractors to provide detailed information about their previous contract work, including contract numbers, descriptions of work performed, contract periods, contracting agencies, point of contact information, and contract values. The second page includes a section for documenting subcontractor, affiliate, or joint venture details, requiring contractors to specify the function, tasks, and percentage of work performed by third parties. This template allows potential contractors to demonstrate their past performance and capability to execute the Aircraft Structural Maintenance preventative maintenance contract at Grand Forks AFB, ND, for the Department of the Air Force Air Mobility Command.
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Text version
List of References
FA465925Q0003
ASM Facility Equipment Preventative Maintenance
PAST PERFORMANCE LIST OF REFERENCES
Company Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete
Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
List of References
FA465925Q0003
ASM Facility Equipment Preventative Maintenance
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
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